Remote SIU Investigator — Healthcare Fraud
$56.2k - $101kCentene Corporation
- Remote job
Centene Corporation is seeking a qualified candidate for a remote role focused on investigating healthcare fraud. You will conduct thorough investigations into potential fraud, waste, and abuse, develop analytical reports, and work collaboratively with Health Plans. To qualify, you should have a Bachelor’s degree in a relevant field and at least five years of experience in fraud investigations within healthcare. The position offers a competitive pay range of $56,200 to $101,000 annually, along with comprehensive benefits including health insurance and 401K. #J-18808-Ljbffr Centene Corporation
- ...Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree...Remote workFraudFull time
- ...solicit your job application. Healthcare Fraud Shield will not contact you prior... ...Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs... ...development initiatives Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFraudFull timeFlexible hours
- A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical records... ...compliance with coding guidelines. The position is remote work eligible, requiring a CPC...Remote jobFraudFull time
$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...time off plus holidays Flexible approach to work with remote, hybrid, field or office schedules Actual pay will...Remote workFraudWork at officeFlexible hours$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...time off plus holidays Flexible approach to work with remote, hybrid, field, or office schedules Additional...Remote workFraudWork at officeFlexible hours- ...We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will... ...accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses... ...field . Knowledge of applicable fraud statutes and regulations, and of federal...Remote workFraudFull timeWork at office
- ...Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS... ...Provide guidance to the Fraud Investigators on SIU investigations and issues. Assist with anti-fraud...Remote workFraudWork experience placement
$25 - $50 per hour
...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims... ...principles, compensability analysis, fraud indicators, and investigative...Remote workFraudHourly payPart timeWork at officeHome officeAfternoon shift$25 - $30 per hour
...A leading investigations firm in Midland, Texas is seeking experienced Part-Time SIU Investigators to join their team. Responsibilities include investigating multi-line insurance claims for fraud, conducting interviews, and documenting findings. Candidates should have...Remote workFraudHourly payPart time- ...A leading investigative firm in Columbia, SC, is seeking experienced Part-Time SIU Investigators to join their team. This hybrid position involves conducting thorough investigations into insurance fraud, performing interviews, and documenting findings. Candidates should...Remote workFraudHourly payPart time
$51k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent...Remote jobFraud- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join their team. The role involves investigating potential fraud in insurance claims, conducting interviews, and preparing investigative reports. Candidates should have 5-10...Remote jobFraudHourly payPart timeWork at office$77.12k - $147.39k
...military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military... .... The Opportunity As a dedicated SIU Investigator, within established guidelines and... ...compliance with all relevant state insurance fraud laws, regulations, policies, and...Remote workFraudH1bWork at officeLocal area- Veracity Research Company is seeking experienced SIU Field Investigators to join their Special Investigations Unit in Atlanta, Georgia. This hybrid role involves investigating insurance fraud across multiple lines of business, requiring travel within the region. The ideal...Remote jobFraud
$83k - $132.8k
...Job Summary: The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with... ...identify potential FWA and support ongoing fraud investigations. Utilizes a variety of... ...of 10 (ten) years of experience in Healthcare Fraud, Healthcare data analysis, or...Remote workFraudHourly payWork experience placementLive inWork at office- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred... ...Special Investigator will function as a remote investigator working from her/his... ...SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement...Remote workFraudWork experience placementWork at office
$21.82 - $42.55 per hour
Molina Healthcare in New York is seeking an investigator to provide support for special investigation unit (SIU) activities. The role involves investigating health care fraud and abuse, requiring strong analytical, interpersonal, and investigative skills. Candidates should...FraudHourly pay$21.82 - $42.55 per hour
Molina Healthcare is looking for a skilled individual to provide investigative support for the special investigation unit (SIU) focused on medical provider coding fraud, waste, and abuse. The suitable candidate will need to independently evaluate medical claims and maintain...FraudHourly pay$25 - $30 per hour
...the past 28 years, Advantage Investigations has been the Nation’s only insurance... ..., Net-Sweep Investigations, Remote Controlled Surveillance, and... ...time and money on insurance fraud cases. Advantage... ...Investigations is seeking a Part-time SIU/Claims Investigator in...Remote workFraudBi-weekly payHourly payPart timeWork at officeFlexible hours$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and...Remote workFraud- ...Behavioral Health within its Special Investigations Unit (SIU). This remote position requires a Board Certified Psychiatrist with over 5 years of healthcare experience. Responsibilities include... ...psychiatric records for healthcare fraud, collaborating in investigations, and...Remote workFraud
- ...Hispanic Alliance for Career Enhancement is seeking a Senior Healthcare Fraud Investigator for their Special Investigations Unit. This role involves... ..., and cooperation with law enforcement. The position is remote and full-time, requiring 3-5 years of investigative experience...Remote workFraudFull time
$70k - $90k
...Senior Investigator - Pre-Pay (Healthcare FWA) Job Location: US-Remote Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not...Remote workFraudWork experience placementWork at officeWork from home- A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires 2 years of relevant experience and can be performed remotely in several U.S. states. The ideal candidate will have a background in healthcare...Remote workFraud
- Nashville Public Radio seeks a Program Integrity Investigator to identify and analyze fraud cases under Department of Defense guidelines. Applicants require... ...and a High School diploma. This role emphasizes remote work across various states, ensuring compliance with both...Remote jobFraud
$60.2k - $107.4k
A leading healthcare organization seeks a Senior Investigator Pharmacy to prevent and investigate healthcare fraud and abuse. Responsibilities include assessing misconduct complaints and analyzing trends. Required qualifications include a degree and relevant experience...Remote jobFraud- A national healthcare organization is seeking a remote auditor to review medical records and billing practices. The ideal candidate must hold a CPC or CPMA... ...experience. Responsibilities include identifying fraud, analyzing billing patterns, and recommending corrective...Remote workFraudFlexible hours
- Healthfirst is hiring a Remote Investigator for the Special Investigations Unit. This role involves conducting complex investigations of alleged misconduct, compiling data into reports, and presenting findings to the Marketing Incidents Committee. Essential qualifications...Remote jobFraudWork at office
- UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory...Remote jobFraud
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